Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Yoensil Yoon Park, FNP-C

Individual provider Family Nurse Practitioner · NPI 1447866132

Lisa Yoensil Yoon Park, FNP-C is a Nurse Practitioner in Chino Hills, California. Qualified in 2020, 6 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

15855 Pomona Rincon Rd
Chino Hills, CA 91709-5572
Phone: (909) 264-8666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2212 E 4th St, Santa Ana, CA 92705-3870 — (714) 628-3242

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95015462 (CA)

Record details

NPI number1447866132
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedSeptember 18, 2020
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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